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Depending
on the type of arthritis, a person may be given a disease-modifying
antirheumatic drug (DMARD) -- a strong medicine that seeks to
slow or prevent joint damage by interfering with or suppressing
the immune system.
Although DMARDs
are usually quite effective, some of them take up to several months
to show results.
You may need
to take the drug hydroxychloroquine (Plaquenil) three or four
months before you notice its benefits. Other DMARDs, such as methotrexate
(Rheumatrex, Trexall) or leflunomide (Arava), work more quickly,
but results can still take time.
For that reason,
you may need to take another drug, such as an NSAID or perhaps
a corticosteroid, to help control inflammation while the DMARD
is starting to work.
Only one DMARD,
Arava, was actually developed for rheumatoid arthritis. Others
were approved after being approved to treat other conditions.
The dose you
need will be determined by your doctor based on the disease, its
severity, and other factors including your weight.
Because DMARDs
suppress the immune system, your should speak to your doctor before
getting any vaccinations.
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